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MR. JOHN MARVIN MITCHELL MD
NPI 1427044114
Surgery in Newark, OH

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
30 MESSIMER DR, NEWARK, OH 43055(220) 564-1880(220) 564-1881 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2021, Nov 17, 2020, Feb 3, 2020 and 1 more (4 updates tracked since 2019).

About Mr. John Marvin Mitchell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN MARVIN MITCHELL MD (NPI 1427044114) is an individual surgery provider in Newark, Ohio, licensed in Ohio (35.084820) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1999).

NPPES Registry Identity

NPI1427044114
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. JOHN MARVIN MITCHELLCredential: MD
Location Address30 MESSIMER DRNewark, OH 43055-1842
Mailing Address30 Messimer DrNewark, OH 43055-1842 · (220) 564-1880 · Fax (220) 564-1881
Phone(220) 564-1880
Fax(220) 564-1881
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1999
Enumeration DateSeptember 27, 2005
Last NPPES UpdateMarch 18, 20214 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1427044114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OH · 35.084820✔ Licensed in WV · 21706✔ Licensed in OH · 35084820✔ Licensed in PA · MD417322
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
30 MESSIMER DR, Newark, OH 43055
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Other Identifiers 2

Medicaid2541566OH
Medicaid3810001266WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. John Marvin Mitchell Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961479746
PECOS Enrollment IDI20200317001773
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services22 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
27 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRENT M SAVAGE MD
Surgery
30 MESSIMER DR
NEWARK, OH 43055
Licking County (220) 564-1880
MOUNDVIEW OBSTETRICS & GYNECOLOGY, INC.
Obstetrics & Gynecology
30 MESSIMER DR
NEWARK, OH 43055
Licking County (740) 344-6904
VICTOR FRANK FERRINI MD
Surgery
30 MESSIMER DR
NEWARK, OH 43055
Licking County (220) 564-1880
CHRISTOPHER S MEYER MD
Surgery
30 MESSIMER DR
NEWARK, OH 43055
Licking County (220) 564-1880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Mitchell's NPI number?

The NPI number for John Mitchell is 1427044114. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is John Mitchell located?

John Mitchell practices at 30 Messimer Dr, Newark, OH 43055. The listed phone number is (220) 564-1880.

What is John Mitchell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Mitchell enrolled in Medicare?

Yes. John Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Mitchell accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list John Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Mitchell affiliated with any hospitals?

According to CMS data, John Mitchell is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Mitchell was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.